Blood pressure measurement device

ABSTRACT

A blood pressure measurement device attachable to the wrist includes a curler that curves along a circumferential direction of the wrist from a backhand side of the wrist along one side of the wrist to a region on a palm-side of the wrist where at least an artery resides, a device body provided on the curler on the backhand-side of the wrist, a sensing cuff provided on the curler on the palm-side of the wrist and covers the region where the artery of the wrist resides, a belt configured to cover the curler including a first belt provided on a first side of the device body, a second belt provided on a second side of the device body, and a connector to connect the first belt and the second belt, and a mark portion provided on the belt being configured to guide to a position of the sensing cuff.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is the U.S. national stage application filed pursuant to 35 U.S.C. 365(c) and 120 as a continuation of International Patent Application No. PCT/JP2019/048028, filed Dec. 9, 2019, which application claims priority to Japan Patent Application No. 2018-246089, filed Dec. 27, 2018, which applications are incorporated herein by reference in their entireties.

TECHNICAL FIELD

The present invention relates to a blood pressure measurement device for measuring blood pressure.

BACKGROUND ART

In recent years, blood pressure measurement devices for measuring blood pressure are being used to monitor health status at home, as well as in medical facilities. A blood pressure measurement device detects vibration of the artery wall to measure blood pressure by, for example, inflating and contracting a cuff wrapped around the upper arm or the wrist of a living body and detecting the pressure of the cuff using a pressure sensor.

Also, a known example of a blood pressure measurement device is a so-called integral type in which a cuff band and a device body that supplies air as fluid to the cuff band are integrally constituted. An example of a blood pressure measurement device with such a configuration is the technology described in JP 2008-104666 (see Patent Document 1). In this technology, a mark portion for alignment is provided on the device body to facilitate disposing the device body at a predetermined position on the artery side of the wrist when blood pressure measurement is performed.

CITATION LIST Patent Literature

Patent Document 1: JP 2008-104666 A

SUMMARY OF INVENTION Technical Problem

However, for the above-described integral-type blood pressure measurement device, there is a demand for a reduction in the size as wearable devices attached on the wrist. Also, because wearable devices are expected to be attached on the wrist at all times, there is a need for the device body to be disposed on the backhand side of the wrist.

On the other hand, when the device body is disposed on the backhand side of the wrist, the sensing cuff of the blood pressure measurement device to be disposed at the artery is disposed at a position separated from the device body, and depending on the difference in thickness and shape of the wrist of users, it may be difficult to align the sensing cuff at the desired position facing the artery of the wrist.

Accordingly, an object of the present invention is to provide a blood pressure measurement device in which a sensing cuff can be easily aligned with a desired position of the wrist.

Solution to Problem

According to an aspect, a blood pressure measurement device is provided which is attachable to the wrist and includes, a curler that curves following along a circumferential direction of the wrist from a backhand side of the wrist along one side of the wrist to a region on a palm-side of the wrist where at least an artery resides, a device body provided on the curler on the backhand side of the wrist, a sensing cuff provided on the curler on the palm-side of the wrist, the sensing cuff being configured to cover the region where the artery of the wrist resides, a belt configured to cover the curler including a first belt provided on a first side of the device body, a second belt provided on a second side of the device body, and a connector configured to connect the first belt and the second belt, and a mark portion provided on the belt, the mark portion being configured to guide to a position of the sensing cuff

According to this aspect, even in a case where the device body is disposed on the backhand side of the wrist, the mark portion for guiding to the position of the sensing cuff is provided on the belt, and by aligning the mark portion to the predetermined position on the palm-side of the wrist, the sensing cuff can be easily aligned with a desired position of the wrist.

In the blood pressure measurement device according to the one aspect described above, the blood pressure measurement device is provided in which a portion of the curler, where the device body is provided, to a first end of the curler extends from the first side of the device body, the portion of the curler, where the device body is provided, to a second end of the curler extends from the second side of the device body to the palm-side of the wrist, and the first end side of the curler is disposed on the backhand side of the wrist and the second end side of the curler is disposed on the palm-side of the wrist, and the mark portion is provided on the second belt at a position facing a region of the curler where the sensing cuff is provided.

According to this aspect, a configuration is that the mark portion is provided on the second belt provided on the device body facing the second end side of the curler where the sensing cuff is provided. Here, even in a case where the curler deforms due to the thickness of the wrist, the deformation of the curler starts at the portion where the device body is provided. Thus, the relative relationship in the circumferential direction of the wrist between the curler provided with the sensing cuff and the mark portion provided on the second belt does not change. As a result, even in a case where a user with a different thickness of the wrist is attaching the blood pressure measurement device, the mark portion can guide to the predetermined region of the sensing cuff.

In the blood pressure measurement device according to the one aspect described above, the blood pressure measurement device is provided in which the mark portion guides to a central part of the sensing cuff in the circumferential direction of the wrist.

According to this aspect, since the central part of the sensing cuff is guided by the mark portion, by aligning the mark portion to the tendon between the radial artery and the ulnar artery in the circumferential direction of the wrist, the radial artery and the ulnar artery can be covered by the sensing cuff, and aligning the sensing cuff is made easy.

In the blood pressure measurement device according to the one aspect described above, the blood pressure measurement device is provided in which the connector is a buckle including a prong, the first belt is a buckle part including the connector, and the second belt is a hole part including a plurality of hole portions disposed in a longitudinal direction, the prong is configured to be inserted in the plurality of hole portions.

According to this aspect, because the blood pressure measurement device can be attached on the wrist using the belt constituted by the buckle part and the hole part, a high wearability is achieved, and the circumferential length of the belt can be easily adjusted. In addition, when installing the belt with such a configuration, by pulling the second belt, i.e., the hole part, the prong is configured to be inserted in one of the hole portions of the second belt. Thus, the mark portion provided on the second belt can be easily disposed at a predetermined position of the wrist, facilitating alignment of the sensing cuff

In the blood pressure measurement device according to the one aspect described above, the blood pressure measurement device is provided in which the second belt is formed of a resin material, and inside the second belt, an insert member formed of a material with higher tensile strength than the resin material is inserted.

According to the aspect, elongation of the second belt when the blood pressure measurement device is attached and when the cuff is inflated can be prevented. Thus, the relative relationship between the sensing cuff and the mark portion provided on the second belt can be prevented from changing. As a result, in the blood pressure measurement device, the sensing cuff can be aligned with a suitable position.

In the blood pressure measurement device according to the one aspect described above, the blood pressure measurement device is provided in which the insert member is provided inside the second belt, is formed in a sheet-like shape that extends in a longitudinal direction of the second belt, and is disposed between the plurality of hole portions.

According to this aspect, the insert member is provided extending in the longitudinal direction of the second belt and further prevents the elongation of the second belt when the second belt is attached and when the cuff is inflated. In addition, because the insert member is configured to be disposed also between the plurality of hole portions, compressive deformation between the hole portions is prevented as much as possible when the hole portions are pressed by the prong. As a result, the relative relationship between the sensing cuff and the mark portion provided on the second belt is suppressed from changing. Thus, in the blood pressure measurement device, the sensing cuff can be aligned with a more suitable position.

In the blood pressure measurement device according to the one aspect described above, the blood pressure measurement device is provided in which the mark portion is disposed on the second belt between the plurality of hole portions and an edge portion on the palm-side when the blood pressure measurement device is attached.

According to this aspect, because the mark portion is located on the palm-side of the second belt when the blood pressure measurement device is attached on the wrist, the mark portion is brought close to the tendon of the hand, allowing the mark portion and the tendon to be easily compared when aligning the sensing cuff.

In the blood pressure measurement device according to the one aspect described above, the blood pressure measurement device is provided in which the mark portion is a projection provided on an outer surface of the second belt.

According to this aspect, because the mark portion is a projection provided on the second belt, the mark portion is integrally formed with the second belt. Thus, for example, compared to a mark portion formed by printed ink on the surface of the second belt, the mark portion has better durability, making repeated alignment of the sensing cuff possible.

Advantageous Effects of Invention

The present invention provides a blood pressure measurement device in which a sensing cuff can be easily aligned with a desired position of the wrist.

BRIEF DESCRIPTION OF DRAWINGS

FIG. 1 is a perspective view illustrating a configuration of a blood pressure measurement device according to a first embodiment of the present invention.

FIG. 2 is an exploded perspective view illustrating the configuration of the blood pressure measurement device.

FIG. 3 is a side view illustrating the configuration of the blood pressure measurement device.

FIG. 4 is an explanatory diagram illustrating a state in which the blood pressure measurement device is attached to the wrist.

FIG. 5 is a block diagram illustrating the configuration of the blood pressure measurement device.

FIG. 6 is a perspective view illustrating the configuration of the blood pressure measurement device.

FIG. 7 is an exploded perspective view illustrating the configuration of a curler and a cuff structure of the blood pressure measurement device.

FIG. 8 is a cross-sectional view illustrating the configuration of the curler and the cuff structure of the blood pressure measurement device.

FIG. 9 is a cross-sectional view illustrating the configuration of the curler and the cuff structure of the blood pressure measurement device.

FIG. 10 is a cross-sectional view illustrating the configuration of a tensile cuff of the blood pressure measurement device.

FIG. 11 is a cross-sectional view illustrating the configuration of the tensile cuff of the blood pressure measurement device.

FIG. 12 is a plan view illustrating the configuration of a first belt of the blood pressure measurement device.

FIG. 13 is a plan view illustrating the configuration of a second belt of the blood pressure measurement device.

FIG. 14 is a cross-sectional view illustrating the configuration of the second belt.

FIG. 15 is a perspective view illustrating the configuration of the curler of the blood pressure measurement device.

FIG. 16 is a plan view illustrating a configuration of the cuff structure of the blood pressure measurement device.

FIG. 17 is a plan view illustrating the configuration of the cuff structure.

FIG. 18 is a plan view illustrating a configuration of a pressing cuff in the blood pressure measurement device.

FIG. 19 is a cross-sectional view illustrating the configuration of the pressing cuff.

FIG. 20 is a plan view illustrating the configuration of a sensing cuff of the blood pressure measurement device.

FIG. 21 is a cross-sectional view illustrating the configuration of the sensing cuff.

FIG. 22 is a flowchart illustrating an example of a method for manufacturing the blood pressure measurement device.

FIG. 23 is a flowchart illustrating an example of usage of the blood pressure measurement device.

FIG. 24 is a perspective view illustrating an example in which the blood pressure measurement device is attached to the wrist.

FIG. 25 is a perspective view illustrating an example in which the blood pressure measurement device is attached to the wrist.

FIG. 26 is a perspective view illustrating an example in which the blood pressure measurement device is attached to the wrist.

FIG. 27 is a perspective view illustrating an example in which the blood pressure measurement device is attached to the wrist.

FIG. 28 is a cross-sectional view schematically illustrating a state in which the blood pressure measurement device is attached to the wrist.

DESCRIPTION OF EMBODIMENTS First Embodiment

An example of a blood pressure measurement device 1 according to a first embodiment of the present invention will be described below with reference to FIGS. 1 to 21.

FIG. 1 is a perspective view illustrating a configuration of the blood pressure measurement device 1 according to a first embodiment of the present invention. FIG. 2 is an exploded perspective view illustrating the configuration of the blood pressure measurement device 1. FIG. 3 is a side view illustrating the configuration of the blood pressure measurement device 1. FIG. 4 is an explanatory diagram illustrating a state in which the blood pressure measurement device 1 is attached to the wrist 200. FIG. 5 is a block diagram illustrating the configuration of the blood pressure measurement device 1. FIG. 6 is a perspective view illustrating the configuration of the blood pressure measurement device 1 with some configurations removed. FIG. 7 is an exploded perspective view illustrating the configuration of a curler 5 and a cuff structure 6 of the blood pressure measurement device 1. FIG. 8 is a cross-sectional view illustrating the configuration of the curler 5 and the cuff structure 6 of the blood pressure measurement device 1. FIG. 9 is a cross-sectional view illustrating the configuration of the curler 5 and the cuff structure 6 of the blood pressure measurement device 1. FIG. 10 is a cross-sectional view illustrating the configuration of a tensile cuff 74 of the blood pressure measurement device 1. FIG. 11 is a cross-sectional view illustrating the configuration of the tensile cuff 74 of the blood pressure measurement device 1. FIG. 12 is a plan view illustrating a configuration of a first belt 61 of a belt 4 of the blood pressure measurement device 1. FIG. 13 is a plan view illustrating a configuration of a second belt 62 of the belt 4. FIG. 14 is a cross-sectional view illustrating the configuration of a portion of the second belt 62 of the belt 4. FIG. 15 is a perspective view illustrating the configuration of the curler 5 of the blood pressure measurement device 1. FIG. 16 is a plan view illustrating a configuration of the cuff structure 6 of the blood pressure measurement device 1 from the wrist 200 side. FIG. 17 is a plan view illustrating the configuration of the curler 5 of the cuff structure 6 on the inner circumferential surface side.

FIG. 18 is a plan view illustrating the configuration of a pressing cuff 71 of the blood pressure measurement device 1. FIG. 19 is a cross-sectional view illustrating the configuration of the pressing cuff 71, which is a line cross-section along a XIX-XIX illustrated in FIG. 18. FIG. 20 is a plan view illustrating the configuration of a sensing cuff 73 of the blood pressure measurement device 1. FIG. 21 is a cross-sectional view illustrating the configuration of the sensing cuff 73 of the blood pressure measurement device 1, which is a line cross-section along a XXI-XXI illustrated in FIG. 20.

The blood pressure measurement device 1 is an electronic blood pressure measurement device attached to a living body. The present embodiment will be described using an electronic blood pressure measurement device having an aspect of a wearable device attached to the wrist 200 of the living body.

As illustrated in FIGS. 1 to 6, the blood pressure measurement device 1 includes the device body 3, the belt 4 that fixes the device body 3 at the wrist, the curler 5 disposed between the belt 4 and the wrist, a cuff structure 6 including the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74, a fluid circuit 7 fluidly connecting the device body 3 and the cuff structure 6, and a power feeding unit 8 provided on the curler 5.

As illustrated in FIGS. 1 to 6, the device body 3 includes, for example, a case 11, a display unit 12, an operation unit 13, a pump 14, the flow path portion 15, the on-off valve 16, the pressure sensor 17, a power supply unit 18, a vibration motor 19, and a control substrate 20. The device body 3 supplies a fluid to the cuff structure 6 using the pump 14, the on-off valve 16, the pressure sensor 17, the control substrate 20, and the like.

As illustrated in FIGS. 1 to 3, the case 11 includes an outer case 31, a windshield 32 covering an opening of the outer case 31 on the opposite side (outer side) to the wrist 200 side, a base portion 33 provided inside the outer case 31 on the wrist 200 side, a rear cover 35 covering the wrist 200 side of the outer case 31, and a sealing member 36 provided on the lower surface of the rear cover 35.

The outer case 31 is formed in a cylindrical shape. The outer case 31 includes pairs of lugs 31 a provided at respective symmetrical positions in the circumferential direction of an outer circumferential surface, and spring rods 31 b each provided between each of the two pairs of lugs 31 a. The windshield 32 is, for example, a circular glass plate.

The base portion 33 holds the display unit 12, the operation unit 13, the pump 14, the on-off valve 16, the pressure sensor 17, the power supply unit 18, the vibration motor 19, and the control substrate 20. Additionally, the base portion 33 constitutes a portion of the flow path portion 15 that makes the pump 14 and the cuff structure 6 fluidly continuous.

The rear cover 35 is configured as an annular shape with an open center. The rear cover 35 covers the end portion on the outer peripheral edge side of the outer case 31 on the wrist 200 side. With the rear cover 35 configured as such being integrally assembled with the curler 5, the central opening is covered by the curler 5, and the rear cover 35 together with the curler 5 forms a rear lid covering the end portion of the outer case 31 on the wrist 200 side. Specifically, the rear cover 35 is fixed to the curler 5 with four first joining members 35 a and fixed to the end portion of the outer case 31 on the wrist 200 side with four second joining members 35 b. The rear cover 35 includes four hole portions 35 c into which the first joining members 35 a that are provided at the bottom portion and fixed to the curler 5 are inserted, and four hole portions 35 d provided at four portions of the outer circumferential portion that radially project out, into which the second joining members 35 b that are fixed to the outer case 31 are inserted.

The first joining members 35 a and the second joining members 35 b are members, such as a screw, a bolt, a machine screw, a rive, for mechanically joining two components. In the present embodiment, the first joining members 35 a and the second joining members 35 b are screws.

The sealing member 36 is a double-sided tape, for example, formed in the shape of the region of the rear cover 35 that comes into contact with the curler 5. The sealing member 36 seals between the curler 5 and the rear cover 35 by being provided between the curler 5 and the rear cover 35.

The display unit 12 is disposed on the base portion 33 of the outer case 31 and directly below the windshield 32. As illustrated in FIG. 5, the display unit 12 is electrically connected to the control substrate 20. The display unit 12 is, for example, a liquid crystal display or an organic electroluminescence display. The display unit 12 displays various types of information including the date and time and measurement results of blood pressure values such as the systolic blood pressure and diastolic blood pressure, heart rate, and the like.

The operation unit 13 is configured to be capable of receiving an instruction input from a user. For example, the operation unit 13 includes a plurality of buttons 41 provided on the case 11, a sensor 42 that detects operation of the buttons 41, and a touch panel 43 provided on the display unit 12 or the windshield 32, as illustrated in FIGS. 1 and 5. When operated by the user, the operation unit 13 converts an instruction into an electrical signal. The sensor 42 and the touch panel 43 are electrically connected to the control substrate 20 to output electrical signals to the control substrate 20.

As the plurality of buttons 41, for example, three buttons are provided. The buttons 41 are supported by the base portion 33 and protrude from the outer circumferential surface of the outer case 31. The plurality of buttons 41 and a plurality of the sensors 42 are supported by the base portion 33. The touch panel 43 is integrally provided on the windshield 32, for example.

The pump 14 is, for example, a piezoelectric pump. The pump 14 compresses air and supplies compressed air to the cuff structure 6 through the flow path portion 15. The pump 14 is electrically connected to the control substrate 20.

The flow path portion 15 constitutes a flow path connecting from the pump 14 to the pressing cuff 71 and the tensile cuff 74 and a flow path connecting from the pump 14 to the sensing cuff 73, as illustrated in FIG. 5. Additionally, the flow path unit 15 constitutes a flow path connecting from the pressing cuff 71 and the tensile cuff 74 to the atmosphere, and a flow path connecting from the sensing cuff 73 to the atmosphere. The flow path unit 15 is a flow path of air constituted by a hollow portion, a groove, a flow path tank, a tube, or the like provided in the base portion 33 and the like.

The on-off valve 16 opens and closes a portion of the flow path portion 15. A plurality of on-off valves 16, specifically four on-off valves 16 are provided, for example, as illustrated in FIG. 5, and selectively open and close the flow path connecting from the pump 14 to the pressing cuff 71 and the tensile cuff 74, the flow path connecting from the pump 14 to the sensing cuff 73, the flow path connecting from the pressing cuff 71 and the tensile cuff 74 to the atmosphere, and the flow path connecting from the sensing cuff 73 to the atmosphere, by the combination of opening and closing of each of the on-off valves 16. As a specific example, the four on-off valves 16 are constituted by the first on-off valve 16A, the second on-off valve 16B, the third on-off valve 16C, and the fourth on-off valve 16D. The first on-off valve 16A opens and closes the flow path connecting the pump 14 and the sensing cuff 73. The second on-off valve 16B opens and closes the flow path connecting the pump 14 and the tensile cuff 74. The second on-off valve 16B and the third on-off valve 16C open and close the flow path connecting the pump 14 and the pressing cuff 71. The second on-off valve 16B, the third on-off valve 16C, and the fourth on-off valve 16D open and close the flow path connecting the pump 14 and the atmosphere.

The pressure sensor 17 at least detects the pressure of the sensing cuff 73. The pressure sensor 17 is provided with the first pressure sensor 17A and the second pressure sensor 17B, for example. The pressure sensor 17 converts a detected pressure into an electrical signal, and outputs the electrical signal to the control substrate 20. For example, the first pressure sensor 17A and the second pressure sensor 17B are provided in the flow path connecting the first pressure sensor 17A of the flow path portion 15 and the sensing cuff 73. The flow path is continuous through the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74 to the pump 14 by the opening and closing of each of the on-off valves, and thus the pressure in these flow paths corresponds to the pressure in the internal space of the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74 connecting to the pump 14.

Specifically, for example, the pressure sensor 17 detects the pressure of the sensing cuff 73, i.e., the pressure of the flow path portion 15 connecting the pump 14 and the sensing cuff 73, when the first on-off valve 16A is open and the second on-off valve 16B is closed. Also, the pressure sensor 17 detects the pressure of the sensing cuff 73 and the tensile cuff 74, i.e., the pressure of the flow path portion 15 connecting the pump 14, the sensing cuff 73, and the tensile cuff 74, when the first on-off valve 16A and the second on-off valve 16B are open and the third on-off valve 16C is closed. Furthermore, the pressure sensor 17 detects the pressure of the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74, i.e., the pressure of the flow path portion 15 connecting the pump 14, the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74, when the first on-off valve 16A, the second on-off valve 16B, and the third on-off valve 16C are open and the fourth on-off valve 16D is open or closed.

The power supply unit 18 is, for example, a secondary battery such as a lithium ion battery. The power supply unit 18 is electrically connected to the control substrate 20, as illustrated in FIG. 5. The power supply unit 18 supplies power to the control substrate 20.

As illustrated in FIG. 5, the control substrate 20 includes, for example, a substrate 51, an acceleration sensor 52, a communication unit 53, a storage unit 54, and a control unit 55. The control substrate 20 is constituted by the acceleration sensor 52, the communication unit 53, the storage unit 54, and the control unit 55 that are mounted on the substrate 51.

The substrate 51 is fixed to the base portion 33 of the case 11 using screws or the like.

The acceleration sensor 52 is, for example, a 3-axis acceleration sensor. The acceleration sensor 52 outputs, to the control unit 55, an acceleration signal representing acceleration of the device body 3 in three directions orthogonal to one another. For example, the acceleration sensor 52 is used to measure, from the detected acceleration, the amount of activity of a living body to which the blood pressure measurement device 1 is attached.

The communication unit 53 is configured to be capable to transmit and receive information to and from an external device wirelessly or by wire. For example, the communication unit 53 transmits information controlled by the control unit 55, and information of a measured blood pressure value, a pulse, and the like to an external device via a network, and receives a program or the like for software update from an external device via a network and sends the program or the like to the control unit 55.

In the present embodiment, the network is, for example, the Internet, but is not limited to this. The network may be a network such as a Local Area Network (LAN) provided in a hospital or may be direct communication with an external device using a cable or the like including a terminal of a predetermined standard such as a USB. Thus, the communication unit 53 may be configured to include a plurality of wireless antennas, micro-USB connectors, or the like.

The storage unit 54 pre-stores program data for controlling the overall blood pressure measurement device 1 and a fluid circuit 7, settings data for setting various functions of the blood pressure measurement device 1, calculation data for calculating a blood pressure value and a pulse from pressure measured by the pressure sensors 17, and the like. Additionally, the storage unit 54 stores information such as a measured blood pressure value and a measured pulse.

The control unit 55 is constituted by one or more CPUs, and controls operation of the overall blood pressure measurement device 1 and operation of the fluid circuit. The control unit 55 is electrically connected to and supplies power to the display unit 12, the operation unit 13, the pump 14, each of the on-off valves 16 and the pressure sensors 17. Additionally, the control unit 55 controls operation of the display unit 12, the pump 14, and the on-off valves 16, based on electrical signals output by the operation unit 13 and the pressure sensors 17.

For example, as illustrated in FIG. 5, the control unit 55 includes a main Central Processing Unit (CPU) 56 that controls operation of the overall blood pressure measurement device 1, and a sub-CPU 57 that controls operation of the fluid circuit 7. For example, the main CPU 56 obtains measurement results such as blood pressure values, for example, the systolic blood pressure and the diastolic blood pressure, and the heart rate, from electrical signals output by the pressure sensor 17, and outputs an image signal corresponding to the measurement results to the display unit 12.

For example, the sub-CPU 57 drives the pump 14 and the on-off valves 16 to feed compressed air to the pressing cuff 71 and the sensing cuff 73 when an instruction to measure the blood pressure is input from the operation unit 13. In addition, the sub-CPU 57 controls driving and stopping of the pump 14 and opening and closing of the on-off valves 16 based on electrical signal output by the pressure sensors 17. The sub-CPU 57 controls the pump 14 and the on-off valves 16 to selectively feed compressed air to the pressing cuff 71 and the sensing cuff 73 and selectively depressurize the pressing cuff 71 and the sensing cuff 73.

As illustrated in FIGS. 1 to 4, the belt 4 includes a first belt 61 provided on the first pair of lugs 31 a and a first spring rod 31 b, a second belt 62 provided on the second pair of lugs 31 a and a second spring rod 31 b, a connector that connects the first belt 61 and the second belt 62, and a mark portion 65. The belt 4 is wrapped around the wrist 200 with a curler 5 in between. Note that in the present embodiment, the connector is a buckle 61 b provided to the first belt 61.

The first belt 61 is referred to as a so-called buckle part (or a parent) and is configured in a band-like shape capable of being joined to the second belt 62. As illustrated in FIGS. 1 to 3 and 12, the first belt 61 includes a belt portion 61 a and the buckle 61 b. The belt portion 61 a is configured like a band. The belt portion 61 a is formed of an elastically deformable resin material. In addition, the belt portion 61 a is flexible and includes a sheet-like first insert member 63 inside the belt portion 61 a for suppressing stretching in the longitudinal direction of the belt portion 61 a. The belt portion 61 a includes a first hole portion 61 c that is formed at one end portion and extends orthogonal to the longitudinal direction of the belt portion 61 a, and a second hole portion 61 d that is formed at the other end portion and extends orthogonal to the longitudinal direction of the first belt 61.

As illustrated in FIGS. 4 and 6, the first hole portion 61 c is provided at the end portion of the belt portion 61 a The first hole portion 61 c has an inner diameter at which the spring rod 31 b can be inserted into the first hole portion 61 c and at which the first belt 61 can rotate with respect to the spring rod 31 b. In other words, the first belt 61 is rotatably held by the outer case 31 by disposing the first hole portion 61 c between the pair of lugs 31 a and around the spring rod 31 b.

As illustrated in FIGS. 1 and 3, the second hole portion 61 d is provided at the leading end of the belt portion 61 a The buckle 61 b is attached to the second hole portion 61 d.

As illustrated in FIGS. 1, 3, and 12, the buckle 61 b includes a frame body 61 e in a rectangular frame shape and a prong 61 f rotatably attached to the frame body 61 e. A side of the frame body 61 e to which the prong 61 f is attached is inserted into the second hole portion 61 d, and the frame body 61 e is mounted rotatably with respect to the belt portion 61 a.

The second belt 62 is referred to as a so-called hole part (or a blade tip), and is configured in a band-like shape having a width at which the second belt 62 can be inserted into the frame body 61 e. The second belt 62 is formed of an elastically deformable resin material. In addition, the second belt 62 is flexible and includes a sheet-like second insert member 64 inside the second belt 62 for suppressing stretching in the longitudinal direction of the second belt 62.

In addition, as illustrated in FIGS. 1, 2, 4, and 13, the second belt 62 includes a plurality of small holes (hole portions) 62 a into which the prong 61 f is inserted. The plurality of small holes 62 a are disposed at equal intervals in the longitudinal direction of the second belt 62. Additionally, the second belt 62 includes a third hole portion 62 b provided at first end portion of the second belt 62 and extending orthogonally to the longitudinal direction of the second belt 62. The third hole portion 62 b has an inner diameter at which the spring rod 31 b can be inserted into the third hole portion 62 b and at which the second belt 62 can rotate with respect to the spring rod 31 b. In other words, the second belt 62 is rotatably held by the outer case 31 by disposing the third hole portion 62 b between the pair of lugs 31 a and around the spring rod 31 b.

The first insert member 63 is formed in a sheet-like shape substantially the same as that of the belt portion 61 a of the first belt 61, but with slightly smaller dimensions in the longitudinal direction and the lateral direction. The first insert member 63 is formed of a material with higher tensile strength than the material forming the belt portion 61 a.

The second insert member 64 is formed in a sheet-like shape substantially the same as that of the second belt 62, but with slightly smaller dimensions in the longitudinal direction and the lateral direction. The second insert member 64 is also disposed between the plurality of small holes 62 a of the second belt 62. The second insert member 64 is formed of a material with higher tensile strength than the material forming the second belt 62.

A mark portion 65 is provided in a region of the belt 4 facing a portion of the curler 5 where the sensing cuff 73 is provided. The mark portion 65 guides to the position of the sensing cuff 73. The mark portion 65 is provided at one of the first belt 61 or the second belt 62, which has the same winding direction as the winding direction of the portion where the sensing cuff 73 is provided. In other words, the mark portion 65 is provided at one of the first belt 61 or the second belt 62 that extends from the cover portion 5 a of the curler 5 and is provided on the pair of lugs 31 a in the same direction as the longer side where the sensing cuff 73 is provided. In a specific example, the mark portion 65 is provided on the outer surface of the second belt 62 at a position facing the region of the curler 5 where the sensing cuff 73 is provided.

Preferably, the mark portion 65 is provided on the outer surface of the second belt 62 at a position facing the central part of the sensing cuff 73 in the circumferential direction of the wrist 200. Furthermore, for example, the mark portion 65 is provided between the plurality of small holes 62 a and the edge portion on the palm-side in the lateral direction (width direction) of the second belt 62, in a state where the blood pressure measurement device 1 is attached on the wrist 200. The mark portion 65 is a dome-shaped projection provided on the outer surface of the second belt 62, and for example, the mark portion 65 is integrally formed with the second belt 62 when the second belt 62 is formed.

The second belt 62 is inserted into the frame body 61 e, and the prong 61 f is inserted into the small hole 62 a, and thus the first belt 61 and the second belt 62 are integrally connected together, and the belt 4 as described above, together with the outer case 31, comes to have an annular shape following along the circumferential direction of the wrist 200. By shaping the belt 4 in an annular shape following along the circumferential direction of the wrist 200, the curler 5 is pressed and elastically deformed to follow along the circumferential direction of the wrist of the wearer of the blood pressure measurement device 1.

As illustrated in FIGS. 1 to 4, the curler 5 is configured in a band-like shape that curves in such a manner as to follow along the circumferential direction of the wrist 200. The curler 5 is formed with a first end and a second end spaced apart from each other. For example, a first end side outer surface of the curler 5 is fixed to the rear cover 35 of the device body 3. The curler 5 is disposed at a position where the first end and the second end protrude more to one side of the wrist 200 than the rear cover 35. Accordingly, the curler 5 is disposed with the first end and the second end to one side of the wrist 200 when the blood pressure measurement device 1 is attached to the wrist 200. Furthermore, the first end and the second end of the curler 5 are located adjacent to each other at a predetermined distance from each other. The curler 5 is formed of a resin material, for example. In a specific example, the curler 5 is formed of a polypropylene with a thickness of approximately 1 mm.

In a specific example, as illustrated in FIGS. 1 to 4, the curler 5 is configured in a band-like shape that curves following along the circumferential direction of the wrist. Furthermore, the curler 5 includes the disk-like cover portion 5 a that is provided at a position facing the backhand side of the wrist 200 on the first end side, and constitutes the rear lid together with the rear cover 35, and an escape portion 5 b that is provided in the peripheral region of the cover portion 5 a and allows the second joining members 35 b that fix the outer case 31 and the rear cover 35 to be moveable. For example, the cover portion 5 a and the adjacent portion of the cover portion 5 a of the curler 5 are formed in a plate-like shape, and the first and second end sides is formed curving with a predetermined curvature more than the cover portion 5 a. Furthermore, the length of the curler 5 from the cover portion 5 a to the first end is less than the length from the cover portion 5 a to the second end. In a specific example, the shorter side of the curler 5 from the cover portion 5 a to the first end is disposed on the backhand side of the wrist, and the longer side from the cover portion 5 a to the second end extends from the backhand side of the wrist, passing through one side, to the palm-side of the wrist 200. Furthermore, the shorter side of the curler 5 extends from the side of the outer case 31 where the first pair of lugs 31 a provided with the first belt 61 is provided, and the longer side extends from the side of the outer case 31 where the second pair of lugs 31 a provided with the second belt 62 is provided.

Additionally, as illustrated in FIGS. 3, 4, and 15, the curler 5 is formed in a shape with the second end located at the inner circumferential surface side of the first end side when the first end and the second end are brought close. In a specific example, the width of the curler 5 in the width direction of the wrist 200 is set to be greater on the backhand side of the wrist 200 than on the palm-side of the wrist 200. Furthermore, the radius of curvature of the first end of the curler 5 on the backhand side of the wrist 200 is set to be greater than the radius of curvature of the second end on the palm-side of the wrist 200. According to such a configuration, when both end sides of the curler 5 are brought to abut, the second end is disposed further to the inward side of the curler 5 than the first end. Furthermore, the curler 5 is provided with a recess 5 c provided adjacent to the cover portion 5 a on a portion of the cover portion 5 a, on the outer surface on the first end side from the cover portion 5 a, and also on the outer surface on the shorter side extending from the cover portion 5 a.

The cover portion 5 a includes an insert member 5 d for reinforcement which is inserted. The cover portion 5 a is fixed to the wrist 200 side of the outer case 31 with the fixed rear cover 35 in between. The cover portion 5 a includes screw holes 5 e provided at positions facing the four hole portions 35 c of the rear cover 35, into which the first joining members 35 a for fixing the rear cover 35 are screwed, and includes three hole portions 5 f for connecting the cuff structure 6 to the device body 3. In addition, the cover portion 5 a is provided at a portion of the curler 5 located centrally on the backhand side of the wrist 200 when the blood pressure measurement device 1 is attached with the sensing cuff 73 disposed in a region where the artery 210 of the wrist 200 resides, with the wrist 200 being an average size of the different wrists 200 that the blood pressure measurement device 1 is expected to be attached on. Here, a case in which the blood pressure measurement device 1 is attached with the sensing cuff 73 disposed in a region where the artery 210 of the wrist 200 resides, is a case, as illustrated in FIG. 4, in which the center of the sensing cuff 73 in the circumferential direction of the wrist 200 is disposed to the center (tendon) between the two arteries 210 (the radial artery and the ulnar artery) of the wrist 200.

The escape portion 5 b is a relief for disposing the second joining members 35 b in the rear cover 35 and for disposing a tool for rotating the second joining members 35 b in a manner so that the second joining members 35 b do not interfere with the curler 5 when the rear cover 35 is fixed to the outer case 31 from the rear cover 35 side with the second joining members 35 b.

The three hole portions 5 f include a first hole portion 5 f 1 formed with an inner diameter into which the connection portion 84 described below of the pressing cuff 71 can be inserted, a second hole portion 5 f 2 formed with an inner diameter into which the connection portion 93 described below of the sensing cuff 73 can be inserted, and the third hole portion 5 f 3 formed with an inner diameter into which the connection portion 103 described below of the tensile cuff 74 can be inserted. In the present embodiment, the second hole portion 5 f 2 is disposed in the cover portion 5 a closer to the second end side on the palm-side of the curler 5 than the first hole portion 5 f 1 and the third hole portion 5 f 3.

The curler 5 with such a configuration is fixed to the outer case 31 with the first end and the second end orientated to face the second belt 62 of the belt 4. Also, the curler 5 at least at the position facing the palm-side of the wrist 200 curves along the circumferential direction along with the palm-side of the wrist 200, and thus the cuff structure 6 facing the palm-side of the wrist 200 is held in a curved state following along the shape of the palm-side of the wrist 200.

The curler 5 has a hardness appropriate to provide flexibility and shape retainability. Here, “flexibility” refers to deformation of the shape of the curler 5 in a radial direction at the time of application of an external force of the belt 4 to the curler 5. For example, “flexibility” refers to deformation of the shape of the curler 5 in a side view in which the curler 5 approaches the wrist, is along the shape of the wrist, or follows to the shape of the wrist when the curler 5 is pressed by the belt 4. Furthermore, “shape retainability” refers to the ability of the curler 5 to maintain a pre-imparted shape when no external force is applied to the curler 5. For example, “shape retainability” refers to, in the present embodiment, the ability of the curler 5 to maintain the shape in a shape curving along the circumferential direction of the wrist.

The cuff structure 6 is disposed on an inner circumferential surface of the curler 5, and is held along the shape of the inner circumferential surface of the curler 5. As a specific example, the cuff structure 6 is held by disposing the pressing cuff 71 and the tensile cuff 74 on the inner circumferential surface of the curler 5, and fixing the cuff structure 6 by a joining layer 75 provided between the curler 5 and the pressing cuff 71 and the tensile cuff 74. In the present embodiment, the joining layer 75 is adhesive or double-sided tape.

As illustrated in FIGS. 1 to 6, 13, and 14, the cuff structure 6 includes the pressing cuff 71, a back plate 72, the sensing cuff 73, and the tensile cuff 74. Also, the cuff structure 6 is provided with the joining layer 75 for joining components each other and joining the curler 5 and the cuffs 71 and 74. The cuff structure 6 is fixed to the curler 5. The cuff structure 6 includes the pressing cuff 71, the back plate 72, and the sensing cuff 73 that are stacked one another and disposed on the curler 5, and the tensile cuff 74 that is spaced apart from the pressing cuff 71, the back plate 72, and the sensing cuff 73 and disposed on the curler 5.

In a specific example, as illustrated in FIG. 4, the cuff structure 6 is fixed to the inner circumferential surface of the curler 5 on the palm-side of the wrist 200 with the pressing cuff 71, the back plate 72, and the sensing cuff 73 stacked in this order from the inner circumferential surface of the curler 5 toward the wrist 200 side. In addition, the cuff structure 6 includes the tensile cuff 74 disposed on the inner circumferential surface of the curler 5 on the backhand side of the wrist 200. Each of the members of the cuff structure 6 is fixed to an adjacent member of the cuff structure 6 in a stacking direction by the joining layer 75.

The pressing cuff 71 is fluidly connected to the pump 14 through the flow path portion 15. The pressing cuff 71 is inflated to pressing the back plate 72 and the sensing cuff 73 toward the wrist 200 side. As illustrated in FIGS. 8, 9, and 16 to 19, the pressing cuff 71 includes a plurality of, for example, two-layer, air bags 81, a target join portion 82 provided on the air bag 81 facing the curler 5, a flow path body 83 communicating with the air bags 81, and the connection portion 84 provided on the leading end of the flow path body 83. The pressing cuff 71 with such a configuration is configured by integrally welding a plurality of sheet members 86 together.

Here, the air bags 81 are bag-like structures, and in the present embodiment, the blood pressure measurement device 1 is configured to use air with the pump 14, and thus the present embodiment will be described using the air bags. However, in a case where a fluid other than air is used, the bag-like structures may be fluid bags that are inflated by a fluid. The plurality of air bags 81 are stacked and are in fluid communication with one another in the stacking direction.

Each of the air bags 81 is formed in a rectangular bag-like shape that is long in one direction. Additionally, the air bags 81 are set so that the width in the lateral direction is the same as the width in the lateral direction of the curler 5. The air bags 81 are each constituted by, for example, combining two sheet members 86 and, as illustrated in FIGS. 8, 9, and 16 to 19, welding a weld portion 81 a using heat into a rectangular frame shape long in one direction. In addition, the two-layer air bags 81 are constituted by forming with integrally combining two air bags 81 by welding using heat, or with welding together a pair of sheet members 86 facing adjacent air bag 81 and welding to the air bag 81. In a specific example, the two-layer air bags 81 are fluidly continuous through openings provided in the sheet members 86 facing one another. In addition, in the two-layer air bags 81, by bridge welding the opposing sheet members 86 together in a quadrilateral frame shape smaller than the weld portion 81 a located on the outer peripheral edge and surrounding the plurality of openings with this bridge weld portion 81 b, the adjacent air bags 81 are integrally formed and made to be fluidly continuous on the inner side of the bridge weld portion 81 b. Here, bridge in bridge welding and the bridge weld portion 81 b means integrally joining adjacent air bags 81.

A single or a plurality of target join portions 82 are provided at at least a portion of the edge portion of the air bag 81 disposed adjacent to the curler 5. The target join portion 82 is formed by a portion of the sheet member 86 forming the air bag 81.

An example of the present embodiment will be described using the examples illustrated in FIGS. 7 to 9 and 16 to 19 in which one target join portion 82 is provided on the edge portion in the lateral direction of each of the air bags 81. Note that, for example, the target join portion 82 may be divided in the longitudinal direction of the air bag 81 by a slit, or a plurality of target join portions 82 may be provided in the longitudinal direction of the air bag 81. The target join portion 82 is at least joined to the outer circumferential surface of the curler 5 when the pressing cuff 71 is disposed on the inner circumferential surface of the curler 5. Furthermore, for example, two target join portions 82 are stacked and welded.

Note that the two target join portions 82 are set to have a different length to the length in the lateral direction of the air bags 81, for example. In this example, the two target join portions 82 are stacked and welded at the first end side in the lateral direction of the curler 5. Note that as long as the two target join portions 82 are able to be disposed with the leading end on the outer circumferential surface of the curler 5, the length is able to be set as appropriate, and the two target join portions 82 may be stackable or not. However, in a case where the length is set to a stackable length, the length is preferably a length such that the leading end does not extend further out than the outer edge of the outer circumferential surface of the curler 5.

As illustrated in FIGS. 7 and 16 to 19, the flow path body 83 is integrally provided on a single air bag 81, for example, on a portion of one edge portion in the longitudinal direction of the air bag 81 adjacent to the curler 5. As a specific example, the flow path body 83 is provided at the end portion of the air bag 81 near the device body 3. Additionally, the flow path body 83 is formed in a shape that is long in one direction and has less width than the width of the air bag 81 in the lateral direction and formed with a leading end having a circular shape. The flow path body 83 includes the connection portion 84 on the leading end. The flow path body 83 is connected to the flow path portion 15 through the connection portion 84 and constitutes a flow path between the flow path portion 15 of the device body 3 and the air bag 81.

The flow path body 83 is constituted by welding a portion of sheet members 86, which is adjacent to a region of the sheet members 86 constituting the air bags 81, in a frame shape long in one direction using heat, in a state where the connection portion 84 is disposed on the two sheet members 86. The flow path body 83 with such a configuration is disposed between the inner circumferential surface of the curler 5 and the tensile cuff 74, and the leading end is disposed at a position facing the first hole portion 5 f 1 on the main surface on the wrist 200 side of the region where the cover portion 5 a of the curler 5 is provided. In addition, the width of the flow path body 83 not including a weld portion 83 a is formed to be 3.8 mm, for example.

Note that, a portion of the weld portion 81 a, where the two sheet members 86 are welded in a rectangular frame shape, is not welded and the air bags 81 provided with the flow path body 83 are constituted to be continuous with the weld portion 83 a constituting the flow path body 83, and thus the air bags 81 are fluidly continuous with the flow path body 83.

The connection portion 84 is, for example, a nipple. The connection portion 84 is provided at the leading end of the flow path body 83. The leading end of the connection portion 84 is exposed from the sheet member 86, facing the curler 5, of the two sheet members 86 constituting the flow path body 83. The connection portion 84 is inserted in the first hole portion 5 f 1 of the cover portion 5 a and is connected to the flow path portion 15.

In a specific example, as illustrated in FIGS. 8, 9, and 28, the pressing cuff 71 includes a first sheet member 86 a, a second sheet member 86 b, a third sheet member 86 c, and a fourth sheet member 86 d in this order from the wrist 200 side. The second sheet member 86 b constitutes a first-layer air bag 81 along with the first sheet member 86 a, the third sheet member 86 c is integrally joined to the second sheet member 86 b and constitutes the target join portion 82, and the fourth sheet member 86 d constitutes a second-layer air bag 81 and the flow path body 83 along with the third sheet member 86 c. Note that the pressing cuff 71 is integrally constituted by joining adjacent sheet members 86 by welding using heat.

The first sheet member 86 a and the second sheet member 86 b are configured in a similar rectangular shape to the air bags 81, and peripheral edge portions of the four sides are welded to constitute the air bags 81. The second sheet member 86 b and the third sheet member 86 c are disposed facing each other, and each includes a plurality of openings 86 b 1 and 86 c 1 through which the two air bags 81 are fluidly continuous. Additionally, the second sheet member 86 b and the third sheet member 86 c are integrally joined by the peripheral region of the plurality of openings 86 b 1 and 86 c 1 being welded using heat in a quadrilateral frame shape smaller than the welded four sides of the air bags 81.

The third sheet member 86 c, for example, is constituted in a shape that allows the air bags 81, the target join portion 82, and the flow path body 83 to be constituted. The fourth sheet member 86 d, for example, is constituted in a shape that allows the air bags 81 and the flow path body 83 to be constituted. Furthermore, the fourth sheet member 86 d includes a hole portion 86 d 1 into which the leading end of the connection portion 84 can be inserted, for example.

The air bags 81, the target join portion 82, and the flow path body 83 are constituted by the third sheet member 86 c and the fourth sheet member 86 d being disposed facing one another, welded using heat along the peripheral edge shape of the air bag 81 and the flow path body 83 so that the air bag 81 and the flow path body 83 are fluidly continuous, and cut in a predetermined shape.

The fourth sheet member 86 d is disposed with the connection portion 84 at the hole portion 86 d 1, and the peripheral region of the hole portion 86 d 1 is welded to the connection portion 84 using heat. Furthermore, the fourth sheet member 86 d is joined with the inner circumferential surface of the curler 5 with the joining layer 75 in between, and the target join portion 82 of the third sheet member 86 c is joined to the outer circumferential surface of the curler 5 with the joining layer 75 in between.

As illustrated in FIGS. 8, 9, 28, the back plate 72 is applied to the outer surface of the first sheet member 86 a of the pressing cuff 71 by the joining layer 75. The back plate 72 is formed in a plate shape using a resin material. The back plate 72 is made of polypropylene, for example, and is formed into a plate shape having a thickness of approximately 1 mm. The back plate 72 has shape followability.

Here, “shape followability” refers to a function of the backplate 72 by which the back plate 72 can be deformed in such a manner as to follow the shape of a contacted portion of the wrist 200 to be disposed, the contacted portion of the wrist 200 refers to a region of the wrist 200 that is faced by the back plate 72. Here, the contact as used herein includes both direct contact and indirect contact with the sensing cuff 73 in between.

For example, as illustrated in FIG. 9, the back plate 72 includes a plurality of grooves 72 a extending in both main surfaces in a direction orthogonal to the longitudinal direction. The plurality of grooves 72 a face the corresponding grooves 72 a provided in the other main surface in the thickness direction of the back plate 72. Additionally, the plurality of grooves 72 a are disposed at equal intervals in the longitudinal direction of the back plate 72.

In the back plate 72, portions including the plurality of grooves 72 a are thinner than portions including no grooves 72 a and thus the portions including the plurality of grooves 72 a are easily deformed. Accordingly, the back plate 72 is deformed in such a manner as to follow to the shape of the wrist 200, and has shape followability of extending in the circumferential direction of the wrist. The back plate 72 is formed such that the length of the back plate 72 is sufficient to cover the palm-side of the wrist 200. The back plate 72 transfers the pressing force from the pressing cuff 71 to the back plate 72 side main surface of the sensing cuff 73 in a state in which the back plate 72 is extending along the shape of the wrist 200.

The sensing cuff 73 is fluidly connected to the pump 14 through the flow path portion 15. The sensing cuff 73 is fixed to the main surface of the back plate 72 on the wrist 200 side. The sensing cuff 73 is in direct contact with a region of the wrist 200 where an artery 210 resides, as illustrated in FIGS. 4 and 28. The artery 210 as used herein is the radial artery and the ulnar artery. The sensing cuff 73 is formed in the same shape as that of the back plate 72 or a shape that is smaller than that of the back plate 72, in the longitudinal direction and the width direction of the back plate 72. The sensing cuff 73 is inflated to compress a palm-side region of the wrist 200 in which the artery 210 resides. The sensing cuff 73 is pressed by the inflated pressing cuff 71 toward the wrist 200 side with the back plate 72 in between.

In a specific example, as illustrated in FIGS. 8, 9, 16, 17, 19, and 20, the sensing cuff 73 includes one air bag 91, a flow path body 92 that communicates with the air bag 91, and the connection portion 93 provided at the leading end of the flow path body 92. One main surface of the air bag 91 of the sensing cuff 73 is fixed to the back plate 72. For example, the sensing cuff 73 is joined to the main surface of the back plate 72 on the wrist 200 side by the joining layer 75. The sensing cuff 73 with such a configuration is constituted by welding two sheet members 96.

Here, the air bag 91 is a bag-like structure, and in the present embodiment, the blood pressure measurement device 1 is configured to use air with the pump 14, and thus the present embodiment will be described using the air bag. However, in a case where a fluid other than air is used, the bag-like structure may be a fluid bag and the like.

The air bag 91 is constituted in a rectangular shape that is long in one direction. The length of the air bag 91 in the longitudinal direction is set to a length that covers the two arteries 210, or in other words the region where the radial artery and the ulnar artery reside, when the blood pressure measurement device 1 is attached on the wrist 200 of an expected thickness. The air bags 91 are each constituted by, for example, combining two sheet members 96 long in one direction and, as illustrated in FIGS. 8, 9, 16, 17, 19, and 20, welding a weld portion 91 a using heat into a rectangular frame shape long in one direction. Also, the air bag 91, for example, includes a junction margin 91 b for ensuring area for joining the air bag 91 to the back plate 72 using the joining layer 75. The junction margin 91 b is formed by the sheet member 96 facing the back plate 72, for example.

The flow path body 92 is integrally provided at a portion of one edge portion of the air bag 91 in the longitudinal direction. As a specific example, the flow path body 92 is provided at the end portion of the air bag 91 near the device body 3. Additionally, the flow path body 92 is formed in a shape that is long in one direction and has less width than the width of the air bag 91 in the lateral direction, and formed with a leading end having a circular shape. The flow path body 92 includes the connection portion 93 on the leading end. The flow path body 92 is connected to the flow path portion 15 through the connection portion 93 and constitutes a flow path between the flow path portion 15 of the device body 3 and the air bag 91.

The flow path body 92 is constituted by welding a portion of sheet members 96, which is adjacent to a region of the sheet members 96 constituting the air bag 91, in a frame shape long in one direction using heat, in a state where the connection portion 93 is disposed on the two sheet members 96. Note that, a portion of the weld portion 91 a, where the two sheet members 96 are welded in a rectangular frame shape, is not welded and the air bag 91 is constituted to be continuous with the weld portion 92 a constituting the flow path body 92, and thus the air bag 91 and the flow path body 92 are fluidly continuous. The flow path body 92 with such a configuration is disposed between the inner circumferential surface of the curler 5 and the tensile cuff 74, and the leading end is disposed at a position facing the second hole portion 5 f 2 on the main surface on the wrist 200 side of the region where the cover portion 5 a of the curler 5 is provided. In addition, the width of the flow path body 92 not including the weld portion 92 a is 3.8 mm, for example.

The connection portion 93 is, for example, a nipple. The connection portion 93 is provided at the leading end of the flow path body 92. Also, the leading end of the connection portion 93 is externally exposed from the sheet member 96 facing the curler 5 and the back plate 72, of the two sheet members 96 constituting the flow path body 92. The connection portion 93 is inserted in the second hole portion 5 f 2 of the cover portion 5 a and is connected to the flow path portion 15.

In a specific example, the sensing cuff 73 includes a fifth sheet member 96 a and a sixth sheet member 96 b in this order from the wrist 200 side as illustrated in FIGS. 8, 9, and 28. Note that the sensing cuff 73 is constituted by joining adjacent sheet members 96 by welding using heat.

For example, the fifth sheet member 96 a and the sixth sheet member 96 b are constituted in a shape that allows the air bag 91, the junction margin 91 b, and the flow path body 92 to be constituted. The air bag 91 and the flow path body 92 are constituted by the fifth sheet member 96 a and the sixth sheet member 96 b being disposed facing one another, welded using heat along the peripheral edge shape of the air bag 91 and the flow path body 92 so that the air bag 91 and the flow path body 92 are fluidly continuous, and cut in a predetermined shape.

Furthermore, the sixth sheet member 96 b includes a hole portion 96 b 1 into which the leading end of the connection portion 93 can be inserted, for example. The connection portion 93 is disposed at the hole portion 96 b 1, and the peripheral region of the hole portion 96 b 1 is welded to the connection portion 93 using heat. The sixth sheet member 96 b is joined to the inner circumferential surface of the back plate 72 with the joining layer 75 in between.

The tensile cuff 74 is fluidly connected to the pump 14 through the flow path portion 15. The tensile cuff 74 is inflated to press the curler 5 such that the curler 5 is spaced apart from the wrist 200, pulling the belt 4 and the curler 5 toward the backhand side of the wrist 200. The tensile cuff 74 includes a plurality of, for example, six-layer, air bags 101, a target join portion 102 provided on the air bag 101 facing the curler 5, the connection portion (third connection portion) 103 provided on the air bag 101 facing the curler 5, and a cutout portion 104 provided on at least the air bag 101 facing the curler 5. The tensile cuff 74 with such a configuration is constituted by welding a plurality of sheet members 106. In addition, the tensile cuff 74 is fixed to the region where the flow path bodies 83 and 92 are provided and the curler 5, including the cover portion 5 a, on the backhand side of the wrist 200. In other words, the flow path body 83 of the pressing cuff 71 and the flow path body 92 of the sensing cuff 73 are disposed between the curler 5 on the backhand side of the wrist 200 and the tensile cuff 74.

Additionally, the tensile cuff 74 is configured such that the thickness of the tensile cuff 74 in an inflating direction, in the present embodiment, in the direction in which the curler 5 and the wrist 200 face each other, during inflation, is larger than the thickness of the pressing cuff 71 in the inflating direction during inflation and than the thickness of the sensing cuff 73 in the inflating direction during inflation. Specifically, the air bags 101 of the tensile cuff 74 include more layer structures than the air bags 81 in the pressing cuff 71 and the air bag 91 in the sensing cuff 73, and have thicker thickness than the pressing cuff 71 and the sensing cuff 73 when the air bags 101 are inflated from the curler 5 toward the wrist 200.

In the present embodiment, the tensile cuff 74 including the six-layer air bags 101 includes a first outer layer 111 constituted by one air bag 101, a first intermediate layer 112 constituted by two-layer air bags 101 integrally joined with the first outer layer 111 by welding using heat, a second intermediate layer 113 constituted by two-layer air bags 101 integrally joined with the first intermediate layer 112 by welding using heat, and a second outer layer 114 constituted by one air bag 101 integrally joined with the second intermediate layer 113 by welding using heat.

Here, the air bags 101 are bag-like structures, and in the present embodiment, the blood pressure measurement device 1 is configured to use air with the pump 14, and thus the present embodiment will be described using the air bags. However, in a case where a fluid other than air is used, the bag-like structures may be fluid bags that are inflated by a fluid. A plurality of the air bags 101 are stacked and are in fluid communication in the stacking direction.

Each of the air bags 101 is formed in a rectangular bag-like shape that is long in one direction. Additionally, the air bags 101 are set so that the width in the lateral direction is the same as the width in the lateral direction of the curler 5. The air bags 101 are each constituted by, for example, combining two sheet members 106 and, as illustrated in FIGS. 10, 11, 16, and 17, welding a weld portion 101 a using heat to form a rectangular frame shape long in one direction. The six-layer air bags 101 are fluidly continuous through openings provided in the sheet members 106 facing one another.

In addition, in the six-layer air bags 101, for the first outer layer 111 and the first intermediate layer 112, the first intermediate layer 112 and the second intermediate layer 113, and the second intermediate layer 113 and the second outer layer 114, by bridge welding the opposing sheet members 106 together with a quadrilateral frame shape smaller than the weld portion 81 a located on the outer peripheral edge and surrounding the plurality of openings with the bridge weld portion 101 b, the adjacent air bags 101 are integrally formed and made fluidly continuous on the inner side of the bridge weld portion 101 b.

The first outer layer 111 is formed by one air bag 101 disposed on the wrist 200 side. The first outer layer 111 constitutes the first air bag 101, from the wrist 200 side, of the six-layer air bags 101.

The first intermediate layer 112 is stacked on the first outer layer 111. The first intermediate layer 112 is formed by two-layer air bags 101. The first intermediate layer 112 constitutes the second and third air bag 101, from the wrist 200 side, of the six-layer air bags 101. The first intermediate layer 112 is constituted by two-layer air bags 101 integrally welded at the outer peripheral edge. In other words, the first intermediate layer 112 is formed by integrally welding four sheet members 106 in the outer peripheral edge shape of the air bags 101.

The second intermediate layer 113 is stacked on the first intermediate layer 112. The second intermediate layer 113 is formed by two-layer air bags 101. The second intermediate layer 113 constitutes the fourth and fifth air bag 101, from the wrist 200 side, of the six-layer air bags 101. The second intermediate layer 113 is constituted by two-layer air bags 101 integrally welded at the outer peripheral edge. In other words, the second intermediate layer 113 is formed by integrally welding four sheet members 106 in the outer peripheral edge shape of the air bags 101.

The second outer layer 114 is formed by one air bag 101 disposed on the curler 5 side. The second outer layer 114 constitutes the sixth air bag 101, from the wrist 200 side, of the six-layer air bags 101.

A single or a plurality of target join portions 102 are provided at at least a portion of the edge portion of the air bag (the sixth air bag) 101 disposed adjacent to the curler 5. The target join portion 102 is formed by a portion of the sheet member 106 forming the air bag 101.

An example of the present embodiment will be described using examples in which two target join portions 102 are each provided in the longitudinal direction of the air bags 101 on the edge portion in the lateral direction of each of the air bags 101.

Note that, for example, the target join portions 102 are provided on the air bags 101 avoiding the positions facing the cover portion 5 a of the curler 5. Furthermore, for example, the target join portion 102 includes an escape portion 102 a, which is for externally exposing a power feeding terminal 8 b described below of the power feeding unit 8 provided on the curler 5, at a portion facing the power feeding terminal 8 b. The escape portion 102 a, for example, is an opening through which the power feeding terminal 8 b can be externally exposed and has a circular shape as an example.

The target join portion 102 is at least joined to the outer circumferential surface of the curler 5 when the tensile cuff 74 is disposed on the inner circumferential surface of the curler 5. Additionally, the target join portions 102 disposed at the same position in the lateral direction of the air bags 101 are stacked and welded.

Note that the two target join portions 102 are set to have a different length to the length in the lateral direction of the air bags 101, for example. In this example, the two target join portions 102 are stacked and welded at the first end side in the lateral direction of the curler 5. Note that as long as the two target join portions 102 are able to be disposed with the leading end on the outer circumferential surface of the curler 5, the length is able to be set as appropriate and the two target join portions 102 may be stackable or not. However, in a case where the length is set to a stackable length, the length is preferably a length such that the leading end does not extend further out than the outer edge of the outer circumferential surface of the curler 5.

The connection portion 103 is, for example, a nipple. The connection portion 103 is provided at a position facing the third hole portion 5 f 3 of the cover portion 5 a in a central region in the longitudinal direction of the air bag 101 disposed adjacent to the curler 5. The leading end of the connection portion 103 is exposed from the sheet member 106 facing the curler 5, of the two sheet members 106 forming the air bag 101. The connection portion 103 is inserted in the third hole portion 5 f 3 of the cover portion 5 a and is connected to the flow path portion 15.

The cutout portion 104 is provided at a position facing the escape portion 5 b provided on the curler 5. The cutout portion 104 is provided on the sixth air bag 101 forming the second outer layer 114.

In a specific example, as illustrated in FIGS. 10 and 11, the tensile cuff 74 includes a seventh sheet member 106 a, an eighth sheet member 106 b, a ninth sheet member 106 c, a tenth sheet member 106 d, an eleventh sheet member 106 e, a twelfth sheet member 106 f, a thirteenth sheet member 106 g, a fourteenth sheet member 106 h, a fifteenth sheet member 106 i, a sixteenth sheet member 106 j, a seventeenth sheet member 106 k, and an eighteenth sheet member 106 l in this order from the wrist 200 side. Note that the tensile cuff 74 is integrally constituted by joining adjacent sheet members 106 by welding using heat.

The seventh sheet member 106 a to the eighteenth sheet member 106 l are constituted in a similar rectangular shape to the air bags 101. The seventh sheet member 106 a and the eighth sheet member 106 b are welded using heat along the peripheral edge portion shape on the four sides of the air bags 101 to constitute the first (first layer) air bag 101 from the wrist 200 side. In other words, the seventh sheet member 106 a and the eighth sheet member 106 b constitute the first outer layer 111.

The eighth sheet member 106 b and the ninth sheet member 106 c are disposed facing each other, and each includes a plurality of openings 106 b 1 and 106 c 1 through which the two air bags 101 are fluidly continuous. Additionally, the eighth sheet member 106 b and the ninth sheet member 106 c are integrally joined by the peripheral region of the plurality of openings 106 b 1 and 106 c 1 being bridge welded using heat in a quadrilateral frame shape smaller than the welded four sides of the air bags 101.

The ninth sheet member 106 c and the tenth sheet member 106 d are welded using heat along the peripheral edge portion shape on the four sides of the air bags 101 to constitute the second (second layer) air bag 101 from the wrist 200 side.

As illustrated in FIGS. 10 and 11, the tenth sheet member 106 d and the eleventh sheet member 106 e include a plurality of openings 106 d 1 and 106 e 1 disposed facing one another and through which the two air bags 101 are fluidly continuous. The eleventh sheet member 106 e and the twelfth sheet member 106 f are welded using heat along the peripheral edge portion shape on the four sides of the air bags 101 to constitute the third (third layer) air bag 101 from the wrist 200 side.

The ninth sheet member 106 e, the tenth sheet member 106 d, the eleventh sheet member 106 e, and the twelfth sheet member 106 f are integrally welded using heat along the peripheral edge portion shape on the four sides of the air bags 101 to constitute the first intermediate layer 112 in which the second and third air bags 101 are integrally formed.

As illustrated in FIGS. 10 and 11, the twelfth sheet member 106 f and the thirteenth sheet member 106 g include a plurality of openings 106 f 1 and 106 g 1 disposed facing one another and through which the two air bags 101 are fluidly continuous. Additionally, the twelfth sheet member 106 f and the thirteenth sheet member 106 g are integrally joined by the peripheral region of the plurality of openings 106 f 1 and 106 g 1 being bridge welded using heat in a quadrilateral frame shape smaller than the welded four sides of the air bags 101.

The thirteenth sheet member 106 g and the fourteenth sheet member 106 h are welded using heat along the peripheral edge portion shape on the four sides of the air bags 101 to constitute the fourth (fourth layer) air bag 101 from the wrist 200 side.

As illustrated in FIGS. 10 and 11, the fourteenth sheet member 106 h and the fifteenth sheet member 106 i include a plurality of openings 106 h 1 and 106 i 1 disposed facing one another and through which the two air bags 101 are fluidly continuous. The fifteenth sheet member 106 i and the sixteenth sheet member 106 j are welded using heat along the peripheral edge portion shape on the four sides of the air bags 101 to constitute the fifth (fifth layer) air bag 101 from the wrist 200 side.

The thirteenth sheet member 106 g, the fourteenth sheet member 106 h, the fifteenth sheet member 106 i, and the sixteenth sheet member 106 j are integrally welded using heat along the peripheral edge portion shape on the four sides of the air bags 101 to constitute the second intermediate layer 113 in which the fourth and fifth air bags 101 are integrally formed.

As illustrated in FIGS. 10 and 11, the sixteenth sheet member 106 j and the seventeenth sheet member 106 k include a plurality of openings 106 j 1 and 106 k 1 disposed facing one another and through which the two air bags 101 are fluidly continuous. Also, the seventeenth sheet member 106 k, for example, is constituted in a shape that allows the air bag 101 and the target join portion 102 to be constituted.

Additionally, the sixteenth sheet member 106 j and the seventeenth sheet member 106 k are integrally joined by the peripheral region of the plurality of openings 106 j 1 and 106 k 1 being bridge welded using heat in a quadrilateral frame shape smaller than the welded four sides of the air bags 101.

The seventeenth sheet member 106 k and the eighteenth sheet member 106 l are welded using heat along the peripheral edge portion shape on the four sides of the air bag 101 and cut in a predetermined shape to constitute the sixth air bag 101 from the wrist 200 side, which includes the cutout portion 104, and the target join portion 102.

Furthermore, the eighteenth sheet member 106 l includes a hole portion 106 l 1 into which the leading end of the connection portion 103 can be inserted, for example.

The eighteenth sheet member 106 l is disposed with the connection portion 103 at the hole portion 106 l 1, and the peripheral region of the hole portion 106 l 1 is welded to the connection portion 103 using heat. Furthermore, the eighteenth sheet member 106 l is joined with the inner circumferential surface of the curler 5 with the joining layer 75 in between, and the target join portion 102 of the seventeenth sheet member 106 k is joined to the outer circumferential surface of the curler 5 with the joining layer 75 in between.

Furthermore, the eighteenth sheet member 106 l includes a hole portion 106 l 1 into which the leading end of the connection portion 103 can be inserted, for example.

The eighteenth sheet member 106 l is disposed with the connection portion 103 at the hole portion 106 l 1, and the peripheral region of the hole portion 106 l 1 is welded to the connection portion 103 using heat. Furthermore, the eighteenth sheet member 106 l is joined with the inner circumferential surface of the curler 5 with the joining layer 75 in between, and the target join portion 102 of the seventeenth sheet member 106 k is joined to the outer circumferential surface of the curler 5 with the joining layer 75 in between.

Additionally, each of the sheet members 86, 96, and 106 forming the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74 are formed of a thermoplastic resin material. The thermoplastic resin material is a thermoplastic elastomer. Examples of thermoplastic resin material constituting the sheet members 86, 96, and 106 include thermoplastic polyurethane based resin (hereinafter referred to as TPU), polyvinyl chloride resin, ethylene-vinyl acetate resin, thermoplastic polystyrene based resin, thermoplastic polyolefin resin, thermoplastic polyester based resin, and thermoplastic polyamide resin. Note that, in the pressing cuff 71 and the sensing cuff 73, of at least the plurality of sheet members 86 and 106 constituting the air bags 81 and 101, at least the sheet members 86 and 106 welded to the curler 5 are constituted by a material similar to the material of the curler 5.

For example, the sheet members 86, 96, and 106 are formed using a molding method such as T-die extrusion molding or injection molding. After being molded by each molding method, the sheet members 86, 96, and 106 are sized into predetermined shapes, and the sized individual pieces are joined by welding or the like to constitute bag-like structures 81, 91, and 101. A high frequency welder or laser welding is used as the welding method.

The fluid circuit 7 is constituted by the case 11, the pump 14, the flow path portion 15, the on-off valves 16, the pressure sensors 17, the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74. A specific example of the fluid circuit 7 will be described below.

As illustrated in FIG. 5, for example, the fluid circuit 7 includes a first flow path 7 a in which the pump 14, the sensing cuff 73, the first pressure sensor 17A and the second pressure sensor 17B are continuous through the first on-off valve 16A, a second flow path 7 b which is constituted by branching from the first flow path 7 a between the pump 14 and the first on-off valve 16A and is continuous from the pump 14 to the atmosphere through the second on-off valve 16B, the third on-off valve 16C, and the fourth on-off valve 16D sequentially in this order, a third flow path 7 c which is constituted by branching from an intermediate portion of the second flow path 7 b between the second on-off valve 16B and the third on-off valve 16C and is continuous from the pump 14 to the tensile cuff 74, and a fourth flow path 7 d which is constituted by branching from an intermediate portion of the second flow path 7 b between the third on-off valve 16C and the fourth on-off valve 16D and is continuous from the pump 14 to the pressing cuff 71.

In the fluid circuit 7 with such a configuration, by the second on-off valve 16B and the third on-off valve 16C being open and the first on-off valve 16A and the fourth on-off valve 16D being closed, the third flow path 7 c and the fourth flow path 7 d branching from the second flow path 7 b are connected to the pump 14, and the pump 14, the pressing cuff 71, and the tensile cuff 74 are fluidly connected.

In the fluid circuit 7, by the first on-off valve 16A, the second on-off valve 16B, and the third on-off valve 16C being open and the fourth on-off valve 16D being closed, the first flow path 7 a and the third flow path 7 c and the fourth flow path 7 d branching from the second flow path 7 b are connected to the pump 14, and the pump 14, the pressing cuff 71, and the tensile cuff 74 and the pump 14 and the sensing cuff 73 are fluidly connected. In the fluid circuit 7, by the second on-off valve 16B, the third on-off valve 16C, and the fourth on-off valve 16D being open and the first on-off valve 16A being closed, the second flow path 7 b, the third flow path 7 c, and the fourth flow path 7 d are connected to the pump 14, and the pump 14, the pressing cuff 71, the tensile cuff 74, and the atmosphere are fluidly connected. In the fluid circuit 7, by the first on-off valve 16A, the second on-off valve 16B, the third on-off valve 16C, and the fourth on-off valve 16D being open, the first flow path 7 a, the second flow path 7 b, the third flow path 7 c, and the fourth flow path 7 d are connected to the pump 14, and the pump 14, the pressing cuff 71, the sensing cuff 73, the tensile cuff 74, and the atmosphere are fluidly connected.

As illustrated in FIGS. 6, 7, and 15, the power feeding unit 8 is provided in the recess 5 c formed in the outer surface of the curler 5 on the first end side that projects from the device body 3. For example, the power feeding unit 8 is configured to be capable to connect to a connector provided on a charging cable of a charger.

As illustrated in FIGS. 6 and 7, the power feeding unit 8 is provided with a wiring portion 8 a, the power feeding terminal 8 b, and a cover 8 c that covers the wiring portion 8 a disposed in the recess 5 c of the curler 5. The first end of the wiring portion 8 a is connected to the power feeding terminal 8 b, and the second end is connected to the control unit 55. The power feeding terminal 8 b is constituted by two circular terminals, for example. For example, the wiring portion 8 a and the power feeding terminal 8 b are formed of flexible printed circuits (FPC) and the like including a base film, such as polyimide, provided with an electrically conductive metal film and the like. The cover 8 c is formed in the same shape as the recess 5 c and covering the recess 5 c, and the upper surface runs flush with the outer surface of the curler 5 on the shorter side when the cover 8 c is provided in the recess 5 c.

Next, an example of a method for manufacturing the blood pressure measurement device 1 will be described using FIG. 22.

First, the power feeding unit 8 is formed on the curler 5 (step ST11). The FPC constituting the wiring portion 8 a and the power feeding terminal 8 b is joined to the cover portion 5 a and the recess 5 c of the curler 5 by double-sided tape or the like and the cover 8 c is joined to the recess 5 c by double-sided tape of the like.

Next, the cuff structure 6 is joined to the curler 5 (step ST12). In a specific example, first, the back plate 72 is disposed in a jig for curving and heated in a heating furnace to heat treat the back plate 72 and curve it in a predetermined shape. Next, the joining layer 75, i.e., double-sided tape, is attached to a region of the fourth sheet member 86 d of the pressing cuff 71 facing the curler 5 and the target join portion 82, and the pressing cuff 71 is attached to the curler 5. Then, double-sided tape is attached to the region of the sixth sheet member 96 b of the sensing cuff 73 facing the back plate 72, and the sensing cuff 73 is attached to the back plate 72. Note that in these steps, the connection portion 84 of the pressing cuff 71 and the connection portion 93 of the sensing cuff 73 are inserted into the first hole portion 5 f 1 and the second hole portion 5 f 2 of the cover portion 5 a of the curler 5.

Next, double-sided tape is attached to the region of the back plate 72 facing the pressing cuff 71, and the back plate 72 is attached to the first sheet member 86 a of the pressing cuff 71. Then, double-sided tape is attached to the region of the eighteenth sheet member 106 l of the tensile cuff 74 facing the curler 5 and the target join portion 102, and the tensile cuff 74 is attached to the curler 5, as well as the flow path body 83 of the pressing cuff 71 disposed on the inner surface of the curler 5 and the flow path body 92 of the sensing cuff 73. These steps join the cuff structure 6 to the curler 5.

Next, the sealing member 36 and the rear cover 35 are disposed on the cover portion 5 a and the rear cover 35 is fixed to the cover portion 5 a with the first joining members 35 a (step ST13) to constitute a rear lid.

Then, the device body 3 is integrally assembled except for the rear cover 35 (step ST14). Next, the rear cover 35 is disposed on the end portion on the wrist 200 side of the outer case 31 of the device body 3, and the outer case 31 and the rear cover 35 are fixed with the second joining members 35 b (step ST15). Then, the first belt 61 and the second belt 62 are assembled on the outer case 31 (step ST16). With these steps, the blood pressure measurement device 1 is manufactured.

Next, an example of measurement of a blood pressure value using the blood pressure measurement device 1 will be described using FIGS. 23 to 27. FIG. 23 is a flowchart illustrating an example of blood pressure measurement using the blood pressure measurement device 1 which is illustrating both of the operations of a user and the operations of the control unit 55. Additionally, FIGS. 24 to 27 illustrate an example in which the blood pressure measurement device 1 is attached to the wrist 200 of a user.

First, the user attaches the blood pressure measurement device 1 to the wrist 200 (step ST21). In a specific example, for example, the user inserts one of the wrists 200 into the curler 5, as illustrated in FIG. 24.

At this time, in the blood pressure measurement device 1, the device body 3 and the sensing cuff 73 are disposed at opposite positions in the curler 5, and thus the sensing cuff 73 is disposed in a region on the palm-side of the wrist 200 in which the artery 210 resides. Thus, the device body 3 and the tensile cuff 74 are disposed on the backhand side of the wrist 200. Then, as illustrated in FIG. 25, the user passes the second belt 62 through the frame body 61 e of the buckle 61 b of the first belt 61 with the hand opposite to the hand on which the blood pressure measurement device 1 is disposed. The user then pulls the second belt 62 to bring the member on the inner circumferential surface side of the curler 5, that is, the cuff structure 6, into close contact with the wrist 200, and inserts the prong 61 f into one of the small holes 62 a. Thus, as illustrated in FIGS. 4 and 28, the first belt 61 and the second belt 62 are connected, and the blood pressure measurement device 1 is attached to the wrist 200.

Also, at this time, as illustrated in FIG. 27, the user connects the first belt 61 and the second belt 62 while visually aligning the mark portion 65 provided on the outer surface of the second belt 62 with a position between the two arteries 210 of the wrist 200, for example, the position of the tendon, and attaches the blood pressure measurement device 1 on the wrist 200. This causes the sensing cuff 73 to cover the region of the wrist 200 where the two arteries 210 are located.

Next, the user operates the operation unit 13 and inputs a command corresponding to starting measurement of blood pressure value. The operation unit 13 on which the command input operation was performed outputs an electrical signal corresponding to starting measurement to the control unit 55 (step ST22). The control unit 55, when the electrical signal is received, for example, opens the first on-off valve 16A, the second on-off valve 16B, and the third on-off valve 16C, closes the fourth on-off valve 16D, and operates the pump 14 to supply compressed air to the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74 through the first flow path 7 a, the second flow path 7 b, the third flow path 7 c, and the fourth flow path 7 d (step ST23). Thus, the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74 start to be inflated.

The first pressure sensor 17A and the second pressure sensor 17B detect the pressures in the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74, and output, to the control unit 55, electrical signals corresponding to the pressures (step ST24). On the basis of the received electrical signals, the control unit 55 determines whether the pressures in the internal spaces of the pressing cuff 71, the sensing cuff 73, and the tensile cuff 74 have reached a predetermined pressure for measurement of the blood pressure (step ST25). For example, in a case where the internal pressures of the pressing cuff 71 and the tensile cuff 74 have not reached the predetermined pressure and the internal pressure of the sensing cuff 73 has reached the predetermined pressure, the control unit 55 closes the first on-off valve 16A and supplies the compressed air through the second flow path 7 b, the third flow path 7 c, and the fourth flow path 7 d.

When the internal pressures of the pressing cuff 71 and the tensile cuff 74 and the internal pressure of the sensing cuff 73 all have reached the predetermined pressure, the control unit 55 stops driving the pump 14 (YES in step ST25). At this time, as illustrated by the two-dot chain line in FIG. 4, the pressing cuff 71 and the tensile cuff 74 are sufficiently inflated, and the inflated pressing cuff 71 presses the back plate 72. Additionally, the tensile cuff 74 presses against the curler 5 in a direction away from the wrist 200, and then the belt 4, the curler 5, and the device body 3 move in a direction away from the wrist 200, and as a result, the pressing cuff 71, the back plate 72, and the sensing cuff 73 are pulled toward the wrist 200 side. In addition, when the belt 4, the curler 5, and the device body 3 move in a direction away from the wrist 200 due to the inflation of the tensile cuff 74, the belt 4 and the curler 5 move toward both lateral sides of the wrist 200, and the belt 4, the curler 5, and the device body 3 move in a state of close contact with both lateral sides of the wrist 200. Thus, the belt 4 and the curler 5, which are in close contact with the skin of the wrist 200, pull the skin on both lateral sides of the wrist 200 toward the backhand side. Note that the curler 5 may be configured to indirectly contact the skin of the wrist 200 with the sheet members 86 or 106 in between, for example, as long as the curler 5 can pull the skin of the wrist 200.

Furthermore, the sensing cuff 73 is inflated by being supplied with a predetermined amount of air such that the internal pressure equals the pressure required to measure blood pressure, and is pressed toward the wrist 200 by the back plate 72 that is pressed by the pressing cuff 71. Thus, the sensing cuff 73 presses the artery 210 in the wrist 200 and occludes the artery 210 as illustrated in FIG. 28.

Additionally, the control unit 55, for example, controls the third on-off valve 16C and repeats the opening and closing of the third on-off valve 16C, or adjusts the degree of opening of the third on-off valve 16C to pressurize a pressure of the internal space of the pressing cuff 71. In the process of pressurization, based on the electrical signal output by the second pressure sensor 17B, the control unit 55 obtains measurement results such as blood pressure values, for example, the systolic blood pressure and the diastolic blood pressure, and the heart rate and the like (step ST26). The control unit 55 outputs an image signal corresponding to the obtained measurement results to the display unit 12, and displays the measurement results on the display unit 12 (step ST27). In addition, after the end of the blood pressure measurement, the control unit 55 opens the first on-off valve 16A, the second on-off valve 16B, the third on-off valve 16C, and the fourth on-off valve 16D.

The display unit 12 receives the image signal, and then displays the measurement results on the screen. The user views the display unit 12 to confirm the measurement results. After the measurement is complete, the user removes the prong 61 f from the small hole 62 a, removes the second belt 62 from the frame body 61 e, and pulls out the wrist 200 from the curler 5, thus detaching the blood pressure measurement device 1 from the wrist 200.

The blood pressure measurement device 1 according to an embodiment with such a configuration has a configuration in which the mark portion 65 is provided on the belt 4, and thus even when the device body 3 is configured to be disposed on the backhand side of the wrist 200, the sensing cuff 73 can be easily aligned with the desired position on the wrist by aligning the mark portion 65 with the predetermined position on the palm-side of the wrist 200.

Furthermore, the mark portion 65 is provided on the second belt 62 provided on the outer case 31 of the device body 3 and faces the second end side of the curler 5 where the sensing cuff 73 is provided, i.e., the longer side extending from the cover portion 5 a to the second end. Here, even in a case where the curler 5 deforms due to the thickness of the wrist 200, the deformation of the curler 5 starts at the portion where the device body 3 is provided, i.e., the portion between the cover portion 5 a and the longer side or the portion facing the wrist 200 side of the longer side. Thus, the relative relationship in the circumferential direction of the wrist 200 between the curler 5 provided with the sensing cuff 73 and the mark portion 65 provided on the second belt 62 does not change or substantially does not change. As a result, even in a case where a user with a different thickness of the wrist 200 is attaching the blood pressure measurement device 1, the mark portion 65 can guide to the predetermined region of the sensing cuff 73.

Additionally, by the mark portion 65 being provided at a portion of the second belt 62 facing a central part of the sensing cuff 73 in the circumferential direction of the wrist 200, the mark portion 65 can guide to the central region of the sensing cuff 73. Because the mark portion 65 can be aligned with the tendon between the radial artery and the ulnar artery in the circumferential direction of the wrist 200, the radial artery and the ulnar artery can be reliably covered by the sensing cuff 73, and aligning the sensing cuff 73 is made easy.

In addition, the cover portion 5 a, i.e., the device body 3 fixed to the cover portion 5 a with the rear cover 35 in between, is fixed to a portion of the curler 5 located on the backhand side of the wrist 200 when the blood pressure measurement device 1 is attached with the sensing cuff 73 disposed in a region where the artery 210 of the wrist 200 resides, which is the wrists 200 having an average size of thickness that the blood pressure measurement device 1 is expected to be attached on. Thus, when the blood pressure measurement device 1 is attached on the wrist 200 having an average size of thickness, the device body 3 is disposed on the backhand side of the wrist 200. As a result, when the user of an average wrist 200 attaches the blood pressure measurement device 1, the display unit 12 of the device body 3 is located in a position facilitating visual recognition, and thus the display unit 12 can be checked in a suitable position.

For example, in a case where the product lineup of the blood pressure measurement device 1 includes devices in which the size of curler 5 and the belt 4 is changed for each thickness of the wrist 200, because the wrists 200 of most users are close to an average, the blood pressure measurement device 1 per lineup can be relatively easily recognized by the user, giving it high usability.

In addition, because the blood pressure measurement device 1 can be attached on the wrist 200 using the belt 4 constituted by the first belt 61 constituting the buckle part and the second belt 62 constituting the hole part, the blood pressure measurement device 1 has high wearability, and it is easy to adjust the circumferential length of the belt 4. In addition, when attaching the belt 4 with such a configuration, by pulling the second belt 62, i.e., the hole part, the prong 61 f is configured to be inserted in one of the small holes 62 a of the second belt 62. Thus, the mark portion 65 provided on the second belt 62 can be easily disposed at a predetermined position of the wrist 200, facilitating alignment of the sensing cuff 73.

The first belt 61 and the second belt 62 include the insert member 63 and the insert member 64, respectively. This prevents elongation of the first belt 61 and the second belt 62 when the blood pressure measurement device 1 is attached and when the cuff structure 6 is inflated. Thus, the relative relationship between the sensing cuff 73 and the mark portion 65 provided on the second belt 62 can be prevented from changing. As a result, the sensing cuff 73 can be aligned with a suitable position, and the blood pressure measurement device 1 can suitably measure blood pressure.

The second insert member 64 is also disposed inside the second belt 62 and between the plurality of small holes 62 a. Thus, the second insert member 64 is provided extending in the longitudinal direction of the second belt 62 and further prevents the elongation of the second belt 62 when the second belt 62 is attached and when the cuff structure 6 is inflated. In addition, because the second insert member 64 is configured to be disposed also between the plurality of small holes 62 a, compressive deformation between the small holes 62 a is prevented as much as possible when the inner surface constituting the small holes 62 a is pressed. As a result, the relative relationship between the sensing cuff 73 and the mark portion 65 provided on the second belt 62 after the prong 61 f is inserted into one of the small holes 62 a is suppressed from changing. Thus, in the blood pressure measurement device 1, the sensing cuff 73 can be aligned with a more suitable position.

Additionally, the mark portion 65 is disposed between the plurality of small holes 62 a of the second belt 62 and the edge portion on the palm-side when the blood pressure measurement device 1 is attached. Thus, the mark portion 65 is put in close contact with the tendon of the hand when the blood pressure measurement device 1 is attached on the wrist 200. Accordingly, when the sensing cuff 73 is aligned, the mark portion 65 and the tendon can be easily compared, facilitating the alignment of the blood pressure measurement device 1.

Additionally, the mark portion 65 is provided as a projection on the outer surface of the second belt 62. Thus, the mark portion 65 is integrally formed with the second belt 62 and constituting a portion of the second belt 62. Accordingly, for example, the mark portion 65 has better durability compared to forming a mark portion by printed ink on the surface of the second belt 62, making repeated alignment of the sensing cuff 73 possible.

According to the blood pressure measurement device 1 according to the present embodiment described above, by providing the mark portion 65 in a region of the belt 4 facing the sensing cuff 73, the sensing cuff 73 can be easily aligned with a desired position of the wrist 200.

Note that the present invention is not limited to the embodiments described above. In the example described above, the configuration has been described in which the mark portion 65 is disposed between the plurality of small holes 62 a of the second belt 62 and the edge portion on the palm-side when the blood pressure measurement device 1 is attached. However, no such limitation is intended. For example, the mark portion 65 may be provided across the entire region in the width direction of the outer surface of the second belt 62, or may be provided on the side surface of the second belt 62. In addition, in the example described above, the configuration has been described in which the mark portion 65 is a dome-shaped projection. However, no such limitation is intended. For example, the mark portion 65 may be formed by a recess, may be formed by an ink, or may have a shape other than a circle. Additionally, the mark portion 65 may be configured to be provided on the belt 4 on a side facing the end portion on the longer side of the curler 5. In other words, the mark portion 65 may be configured to be provided on the portion of the belt 4 where the relative relationship with the sensing cuff 73 does not change, specifically, on one of the first belt 61 and the second belt 62 which has the same winding direction as the winding direction of the portion where the sensing cuff 73 is provided. For example, in a case where the winding direction of the longer side of the curler 5 is the opposite of the winding direction of that illustrated in FIGS. 1 to 4, the mark portion 65 is provided on the first belt 61 or the buckle 61 b.

That is, the present invention is not limited to the embodiments described above, and various modifications can be made in an implementation stage within a range that does not depart from the gist of the present invention. Furthermore, each of the embodiments may be implemented in combination as appropriate to the extent possible, and in this case, combined effects can be obtained. Also, the embodiments described above include various stages of invention, and various inventions may be extracted by appropriately combining the described plurality of disclosed constituent elements.

REFERENCE SIGNS LIST

-   1 Blood pressure measurement device -   3 Device body -   4 Belt -   5 Curler -   5 a Cover portion -   5 b Escape portion -   5 c Recess -   5 d Insert member -   5 e Screw hole -   5 f Hole portion -   5 f 1 First hole portion -   5 f 2 Second hole portion -   5 f 3 Third hole portion -   6 Cuff structure -   7 Fluid circuit -   7 a First flow path -   7 b Second flow path -   7 c Third flow path -   7 d Fourth flow path -   8 Power feeding unit -   8 a Wire portion -   8 b Power feeding terminal -   8 c Cover -   11 Case -   12 Display unit -   13 Operation unit -   14 Pump -   15 Flow path portion -   16 On-off valve -   16A First on-off valve -   16B Second on-off valve -   16C Third on-off valve -   16D Fourth on-off valve -   17 Pressure sensor -   17A First pressure sensor -   17B Second pressure sensor -   18 Power supply unit -   19 Vibration motor -   20 Control substrate -   31 Outer case -   31 a Lug -   31 b Spring rod -   32 Windshield -   33 Base -   35 Rear cover -   35 a First joining member -   35 b Second joining member -   35 c Hole portion -   35 d Hole portion -   36 Sealing member -   41 Button -   42 Sensor -   43 Touch panel -   51 Substrate -   52 Acceleration sensor -   53 Communication unit -   54 Storage unit -   55 Control unit -   56 Main CPU -   57 Sub-CPU -   61 First belt -   61 a Belt portion -   61 b Buckle -   61 c First hole portion -   61 d Second hole portion -   61 e Frame body -   61 f Prong -   62 Second belt -   62 a Small hole (hole portion) -   62 b Third hole portion -   63 First insert member (insert member) -   64 Second insert member (insert member) -   65 Mark portion -   71 pressing cuff -   72 Back plate -   72 a Groove -   73 Sensing cuff -   74 Tensile cuff -   75 Joining layer -   81 Air bag (bag-like structure) -   81 a Weld portion -   81 b Bridge weld portion -   82 Target join portion -   83 Flow path body -   83 a Weld portion -   84 Connection portion -   86 Sheet member -   86 a First sheet member -   86 b Second sheet member -   86 b 1 Opening -   86 c Third sheet member -   86 c 1 Opening -   86 d Fourth sheet member -   86 d 1 Hole portion -   91 Air bag (bag-like structure) -   91 a Weld portion -   91 b Junction margin -   92 Flow path body -   92 a Weld portion -   93 Connection portion -   96 Sheet member -   96 a Fifth sheet member -   96 b Sixth sheet member -   96 b 1 Hole portion -   101 Air bag (bag-like structure) -   101 a Weld portion -   101 b Bridge weld portion -   102 Target join portion -   102 a Escape portion -   103 Connection portion -   104 Cutout portion -   106 Sheet member -   106 a Seventh sheet member -   106 b Eighth sheet member -   106 b 1 Opening -   106 c Ninth sheet member -   106 c 1 Opening -   106 d Tenth sheet member -   106 d 1 Opening -   106 e Eleventh sheet member -   106 e 1 Opening -   106 f Twelfth sheet member -   106 f 1 Opening -   106 g Thirteenth sheet member -   106 g 1 Opening -   106 h Fourteenth sheet member -   106 h 1 Opening -   106 i Fifteenth sheet member -   106 i 1 Opening -   106 j Sixteenth sheet member -   106 j 1 Opening -   106 k Seventeenth sheet member -   106 k 1 Opening -   106 l Eighteenth sheet member -   106 l 1 Hole portion -   111 First outer layer -   112 First intermediate layer -   113 Second intermediate layer -   114 Second outer layer -   200 Wrist -   210 Artery 

1. A blood pressure measurement device attachable to the wrist, comprising: a curler that curves following along a circumferential direction of the wrist from a backhand side of the wrist along one side of the wrist to a region on a palm-side of the wrist where at least an artery resides; a device body provided on the curler on the backhand side of the wrist; a sensing cuff provided on the curler on the palm-side of the wrist, the sensing cuff being configured to cover the region where the artery of the wrist resides; a belt configured to cover the curler including a first belt provided on a first side of the device body, a second belt provided on a second side of the device body, and a connector configured to connect the first belt and the second belt; and a mark portion provided on the belt, the mark portion being configured to guide to a position of the sensing cuff, wherein a portion of the curler, where the device body is provided, to a first end of the curler extends from the first side of the device body, the portion of the curler, where the device body is provided, to a second end of the curler extends from the second side of the device body to the palm-side of the wrist, and the first end side of the curler is disposed on the backhand side of the wrist and the second end side of the curler is disposed on the palm-side of the wrist, the mark portion is provided on the second belt at a position facing a region of the curler where the sensing cuff is provided, the connector is a buckle including a prong, the first belt is a buckle part including the connector, and the second belt is a hole part including a plurality of hole portions disposed in a longitudinal direction, the prong is configured to be inserted in the plurality of hole portions.
 2. The blood pressure measurement device according to claim 1, wherein the mark portion guides to a central part of the sensing cuff in the circumferential direction of the wrist.
 3. The blood pressure measurement device according to claim 1, wherein the second belt is formed of a resin material, and inside the second belt, an insert member formed of a material with higher tensile strength than the resin material is inserted.
 4. The blood pressure measurement device according to claim 3, wherein the insert member is provided inside the second belt, is formed in a sheet-like shape that extends in a longitudinal direction of the second belt, and is disposed between the plurality of hole portions.
 5. The blood pressure measurement device according to claim 1, wherein the mark portion is disposed on the second belt between the plurality of hole portions and an edge portion on the palm-side when the blood pressure measurement device is attached.
 6. The blood pressure measurement device according to claim 1, wherein the mark portion is a projection provided on an outer surface of the second belt. 